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DR. KIMBERLY LEEDS HEETER D.D.S.
NPI 1811965593
Dentist - Pediatric Dentistry in Medford, OR

Active since March 09, 2006PECOS Enrolled
1113 PROGRESS DR, MEDFORD, OR 97504(541) 512-3900(541) 414-1175 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 25, 2020, Dec 16, 2015 (2 updates tracked since 2015).

About Dr. Kimberly Leeds Heeter D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY LEEDS HEETER D.D.S. (NPI 1811965593) is an individual pediatric dentistry provider in Medford, Oregon, licensed in Oregon (D10197) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1811965593
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KIMBERLY LEEDS HEETERCredential: D.D.S.
Location Address1113 PROGRESS DRMedford, OR 97504-5201
Mailing Address931 Chevy WayMedford, OR 97504-4127 · (541) 535-6239 · Fax (541) 512-1029
Phone(541) 512-3900
Fax(541) 414-1175
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1811965593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in OR · D10197✔ Licensed in WA · DE60088337
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 21299 (TX)
1113 PROGRESS DR, Medford, OR 97504
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Other Names 1

Former Name (1)Dr. Kimberly Nichole Leeds Dds

Secondary Practice Location 1

Location 1691 Murphy Rd Ste 210Medford, OR 97504-4311 · Phone (541) 773-2625

Other Identifiers 1

Medicaid1742900-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Leeds Heeter D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL MURDOCK
Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
DENNAE LEE SANDOE RDH
Dental Hygienist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
MARTA TOLMACH DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239
DR. DAVID DICKINSON DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
MARIAH KATHLYN BALDWIN DMD
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
ANTON CONKLIN D.M.D.
Dentist (General Practice)
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 512-3900
SHANE BAXTER
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239
SANDY HOANG DDS
Dentist
1113 PROGRESS DR
MEDFORD, OR 97504
Jackson County (541) 535-6239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Heeter's NPI number?

The NPI number for Kimberly Heeter is 1811965593. It was assigned to this individual provider in the NPPES registry on March 9, 2006. The provider is also known as Dr. Kimberly Nichole Leeds Dds.

Where is Kimberly Heeter located?

Kimberly Heeter practices at 1113 Progress Dr, Medford, OR 97504. The listed phone number is (541) 512-3900.

What is Kimberly Heeter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kimberly Heeter enrolled in Medicare?

Yes. Kimberly Heeter is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Heeter accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 8 other insurers list Kimberly Heeter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Heeter was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.